Quality Coordinator

Family Care Partners of Northeast Florida, LLC Job Summary General responsibilities of a quality coordinator are to provide quality support of the clinic team and patients; ensure medical records remain up to date; and the clinic meets regulatory and quality record standards and resolves any issues or discrepancies as they arise. In this role the coordinator will be expected to perform audits on all medical records; and review the data to ensure records are accurate as well as being able to assess the quality of patient care. It is crucial for the Quality Coordinator to have knowledge of CMS stars rating process, Medicaid Quality measures programs and clinical standards and outcomes. Essential Job Functions Daily review of and prepare for the next day of assigned provider’s Cap patients. Daily review of quality in medical records, update records accordingly to aid preparing for the next day patient visits. Responsible for coordination of care regarding quality gaps measures pending with our office managers and QI director. Responsible for coordination of any quality gaps measures events with QI director. Responsible for coordination of quality chart review requests from insurance companies, document, and follow-up with insurance companies. Responsible to coordinate with clinic administrators regarding medical records from hospitals, specialist visits and/or SNH for office follow-up missing in a chart. Identify and follow up with errors regarding billing or medical assistant’s documentation detailing quality measures. Send to QI Director Spreadsheet (is this OFP only?) report on time for process. Responsible for keep our EHR/EMR system (example, eCW, NextGen) up to date as: Identified and correct any patient’s information error. Quality Spreadsheet CDSS/Alerts Quality Global Alerts Arcadia Quality Measures Portal. Minimum Required Education, Experience & Skills Must complete at least a two-year associates degree through a technical school or community college. Two years of EHR/EMR system experience (eCW, Next Gen preferred). 1-2 years healthcare experience – as a quality coordinator preferred. One year Stars Rating/Medicaid quality measures experience. Preferred Education, Experience & Skills Relationship Management skills. Effective written/verbal communication. Ability to effect or advocate for change. Perform critical clinical analysis. Plan and organize effectively reports. The foundation for InnovaCare was laid in 1998 when President and CEO Richard Shinto, M.D., founded North American Medical Management (NAMM) in California. Since then, InnovaCare Health has continuously evolved and innovated to remain at the forefront of healthcare and deliver cutting-edge solutions to our physicians and team members, patients, and their families. Across InnovaCare, we are united by a shared mission, vision, and values. Our growing company strives to make every member of our diverse team feel fulfilled and valued through their work. Our mission is to transform the lives of the people we serve through compassionate, high-quality care, innovative solutions, and trusted partnerships as we vision a new definition of the standard of excellence in healthcare. Today, InnovaCare operates more than 30 clinics and is recognized as a leader in transforming care delivery. Our approach combines physician-led care models with cutting-edge technology and a focus on personalized, coordinated care to empower providers to succeed in some of healthcare's most challenging environments.